Tigranuhi Tina Tadevosyan
NPI 1750152211ActiveIndividual· Nurse Practitioner, Family· Burbank, CA
Nurse Practitioner, Family with Shine Mmg Inc and 2 other groups, practicing in Burbank, California. 424 Medicare patients in 2024, $66,900 paid; nearly all of their 392 Part D prescriptions were generic (90%).
Overview
| NPI | 1750152211 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 12, 2024 |
| Last updated in NPPES | Jan 12, 2024 |
| Certified by provider | Jan 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95027399 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 424 |
|---|---|
| Services billed | 857 across 8 procedure codes |
| Paid by Medicare | $66,900 |
Part D prescriptions in 2024
| Prescriptions (claims) | 392 · 438 30-day fills |
|---|---|
| Patients | 50 |
| Total drug cost | $42,819 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Shine Mmg IncGlendale, CA · 24 clinicians
- California Mobile Medical Group IncGlendale, CA · 15 clinicians
- Fast Track Wound Care IncNorth Hollywood, CA · 3 clinicians
Other facilities
- Vera Home Healthcare IncHome health agency · Newhall, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 114 family nurse practitioners in Burbank · All family nurse practitioners in California